Understanding Dizziness and Nausea Before Menstruation: Causes and Solutions
Dizziness and nausea? Hello Dr. Jiang: I often experience dizziness, nausea, and headaches before my menstrual cycle, sometimes so severe that I cannot go to work. Occasionally, a short nap helps, but other times the dizziness prevents me from sleeping. I have Mediterranean anemi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider common menstrual-related migraine with aura, as it occurs before menstruation. The clinical symptoms include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vision, w...[Read More] Understanding Dizziness and Nausea Before Menstruation: Causes and Solutions
Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing dizziness for over two years. I previously underwent a brain MRI, balance tests, and hearing assessments in the ENT department, all of which showed no abnormalities. The dizziness occurs whenever I stand, ...
Dr. Gao Chunde Reply:
You can consult a neurologist. If the dizziness is caused by tension-type headaches, the examinations may appear normal. However, the physician can prescribe some medications to help alleviate the symptoms. If the feeling of imbalance is indeed related to an underlying neurologic...[Read More] Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Dizziness and Blurred Vision: Understanding Neurological Symptoms
Dizziness and blurred vision? Hello Doctor: Recently, I have been experiencing dizziness and blurred vision when sitting for long periods, standing up, or squatting down. I am unable to focus my gaze straight ahead. A week ago, I accidentally bumped my head against a wall quite h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, dizziness is commonly caused by reflex syncope, which is due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can occur when transitioning from a supine to an upright position, standing up sud...[Read More] Dizziness and Blurred Vision: Understanding Neurological Symptoms
Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Right-sided muscle pain? Hello doctor, I would like to ask about a condition I experienced about a week ago. I felt a stiff neck on the right side but did not seek medical attention. The symptoms improved somewhat, but there is still some mild pain. Then, the night before last, w...
Dr. Gao Chunde Reply:
Sometimes poor posture or improper use, as well as overuse, can lead to localized muscle inflammation and pain. Rest, heat therapy, and moderate massage usually help with recovery. However, if the pain persists or recurs frequently, it is important to seek medical attention for a...[Read More] Understanding Right-Sided Muscle Pain: When to Seek Medical Attention
Understanding Chronic Migraines: Symptoms and Neck Pain Connection
Chronic migraine I have a history of migraines, and sometimes I experience pain on one side of my head or in my forehead, along with a general headache that makes me feel nauseous and dizzy. Any movement triggers severe, throbbing pain that feels swollen and cold. Recently, I not...
Dr. Jiang Junyi Reply:
Hello, based on your description, migraine symptoms typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel like throbbing or pressure, often accompanied by a pulsating sensation. Severe pain can lead to nausea and vomiting, ...[Read More] Understanding Chronic Migraines: Symptoms and Neck Pain Connection
Chronic Insomnia and Headaches: Seeking Neurology Insights
Hello, Doctor. I have been experiencing chronic insomnia and migraines? Hello doctor, I have been experiencing chronic insomnia and migraines. I work in a labor-intensive job, and during my teenage years to early twenties, I was addicted to online gaming for a period of time afte...
Dr. Gao Chunde Reply:
Regarding the issue of migraines and the right eye, you can consult a neurologist. I find it difficult to understand the trigeminal nerve, but the physician will be able to assess it during the consultation and provide you with recommendations and treatment. If necessary, relevan...[Read More] Chronic Insomnia and Headaches: Seeking Neurology Insights
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep issues Since childhood, I have had vivid nightmares, and just before waking up, my body tends to move. I can remember the content of the dreams, and the movement occurs only during the final scene of the dream, but as soon as I move, I wake up immediately. Could this be cla...
Dr. Gao Chunde Reply:
Usually, dreams that occur just before waking are more memorable, and if the body moves during this time, it is considered normal. However, if there is movement during the dream itself, it may indicate a problem. If the movement occurs only when waking up, it falls within the nor...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Concerns About Forxiga: Weight Loss and Neurological Symptoms Explained
I'm sorry, I still have a few questions? Dr. Jiang, I apologize for having one more question. I have been taking Forxiga for about eleven days, and I lost five kilograms in two weeks. After stopping the medication, my weight returned to normal. However, during the medication...
Dr. Jiang Junyi Reply:
Hello, based on your description, the assessment of kidney function can be done by testing the levels of blood urea nitrogen, creatinine, and uric acid to see if they are normal; or by arranging a urinalysis to check for proteinuria or urinary stones. I recommend consulting a nep...[Read More] Concerns About Forxiga: Weight Loss and Neurological Symptoms Explained
Persistent Numbness in Left Index Finger: Causes and Solutions
Numbness in the left index finger? I woke up with numbness in my left hand, and my index finger has been slightly numb since then. It has not improved even after sleeping until noon.
Dr. Jiang Junyi Reply:
Based on your description, peripheral neuropathy should be considered, particularly carpal tunnel syndrome. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, where it can be compressed by the ligament loc...[Read More] Persistent Numbness in Left Index Finger: Causes and Solutions
Understanding Occasional Dizziness: Causes and Solutions
Occasional dizziness? Hello Doctor: Sometimes I experience dizziness, about once or twice a month. The position when it occurs varies; sometimes I'm standing, sometimes sitting, and even lying down at night while sleeping. However, it happens without any sudden significant c...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over,...[Read More] Understanding Occasional Dizziness: Causes and Solutions
Understanding Post-Medication Dizziness and Neurological Symptoms
Two weeks after discontinuing antihypertensive medication, I feel a heaviness in my head and occasionally experience brief episodes of dizziness? Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned to the clinic due to di...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you have a problem with sleep apnea, as obstructive sleep apnea is closely related to obesity. The complications of sleep apnea primarily affect the cardiovascular system, leading to hypertension, myocardial infarction, and ...[Read More] Understanding Post-Medication Dizziness and Neurological Symptoms
Understanding Dizziness, Headaches, and Nausea: Neurological Insights
Dizziness, headache, nausea, and blurred vision? Hello, I occasionally experience blurred vision, dizziness, and pain in the right occipital region and temple. I feel nauseous but can't vomit, and then the left side of my body gradually becomes numb. I have previously injure...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine, which can last from 4 to 72 hours. The characteristics of the headache include unilateral pain that feels throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to light...[Read More] Understanding Dizziness, Headaches, and Nausea: Neurological Insights
Understanding Headaches and Abdominal Pain: When to See a Neurologist
Diagnosis and Etiology I apologize for the inconvenience, and I sincerely seek your advice. My father recently experienced a headache (not the kind associated with a cold) after cleaning the water tank. Following that, he had difficulty urinating and experienced intermittent abdo...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's cervical spine has degeneration causing nerve compression, which in turn could affect the autonomic nervous system, leading to symptoms such as bloating or urinary difficulties. Additionally, some muscle r...[Read More] Understanding Headaches and Abdominal Pain: When to See a Neurologist
Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
The side effects of Nicametate Citrate 50 mg may include gastrointestinal disturbances such as nausea, vomiting, diarrhea, and abdominal pain. Other potential side effects Since October 2015, I have experienced involuntary body jerks that wake me up during sleep, leading to insom...
Dr. Gao Chunde Reply:
Based on the process you described, it seems to be a side effect of the medication. Generally, when we prescribe this medication to patients, the experience is relatively straightforward, and only a few have reported side effects similar to yours. Typically, these side effects re...[Read More] Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Left leg cramp? Hello, Dr. Jiang: I am experiencing intermittent cramping pain on the inner side of my left thigh near the groin area, which sometimes radiates down to my calf and the sole of my foot. This pain mostly occurs while walking, to the point where I am temporarily unab...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms may resemble sciatica, which is caused by nerve root compression due to a herniated disc. The primary manifestation includes pain or abnormal sensations extending from one side of the buttock down to the sole of the foot. The pain often wor...[Read More] Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Sudden Severe Headaches in Long-Term Sufferer: Possible Causes and Next Steps
Chronic headache with sudden onset of severe pain? My mother has been suffering from chronic headaches for about 20 years, experiencing pain almost every day. On some days, she takes 4-6 tablets of acetaminophen (Tylenol). However, from April 13 to April 17, she has been experien...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are likely indicative of a migraine. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel like throbbing or pulsating, often accompanied by nausea and vomitin...[Read More] Sudden Severe Headaches in Long-Term Sufferer: Possible Causes and Next Steps
Severe Lower Back Pain: Which Specialist Should You Consult?
Lower back pain? If you have been experiencing severe lower back pain for three consecutive days, especially after your menstrual period has ended, and the pain is so intense that it affects your ability to stand or get out of bed, it is advisable to see a specialist in either Or...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may first rule out kidney-related issues such as pyelonephritis or renal edema. Next, it could be related to lumbar muscle nerve compression, which is associated with poor sleeping posture. You may experience dull pain in the lower ...[Read More] Severe Lower Back Pain: Which Specialist Should You Consult?
Understanding and Managing Persistent Thigh Pain in Older Adults
Mother has thigh nerve pain? Hello, doctor. I actually came here to ask before. For the past two and a half years, my mother has been experiencing a burning sensation in her right thigh, which started last year. Now, her thigh is constantly numb and painful at irregular intervals...
Dr. Gao Chunde Reply:
General neurologists may find no issues during their examination, but if the pain is determined to be caused by peripheral neuropathy or central nervous system issues, there are medications available to manage the pain and improve quality of life. If the pain is difficult to cont...[Read More] Understanding and Managing Persistent Thigh Pain in Older Adults
Ultrasound Fat Reduction: Risks of Nerve Damage and Hand Numbness
Cosmetic medicine: Ultrasound fat reduction may cause hand numbness, potentially injuring the nerves? On April 5th, I underwent "Liposonix" ultrasound fat reduction treatment at a medical aesthetics clinic to slim down my arms. This treatment is non-invasive and claims ...
Dr. Gao Chunde Reply:
If there is a trend of progression or worsening of the condition, it is advisable to schedule an appointment with a neurologist at Chang Gung Memorial Hospital to inquire whether there are any treatments or medications that can be initiated, as electromyography is primarily a dia...[Read More] Ultrasound Fat Reduction: Risks of Nerve Damage and Hand Numbness
Understanding Dizziness: Insights from Neurology and Cardiology
Regarding dizziness, please ask again? Hello Dr. Jiang, the link above contains your explanation from April 5th. I would like to add a few additional questions for your clarification. 1. During episodes of dizziness, I experience slight body warmth and an increased heart rate. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe that the relevant specialists have provided effective pharmacological treatment. However, I'm unsure about your lifestyle and exercise habits. How is your autonomic nervous system functioning? I recommend consulting a rehabilitatio...[Read More] Understanding Dizziness: Insights from Neurology and Cardiology